| NPI | 1942555370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE FREDERICK Family Nurse Practitioner 910-353-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5004371) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2014-02-03 |